Provider Demographics
NPI:1730487679
Name:ESPOSITO, DOROTHEA ANNE (FNP-BC, NP-C)
Entity Type:Individual
Prefix:
First Name:DOROTHEA
Middle Name:ANNE
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:FNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HUNT CLUB LN
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4125
Mailing Address - Country:US
Mailing Address - Phone:203-292-5731
Mailing Address - Fax:203-292-5732
Practice Address - Street 1:6 HUNT CLUB LN
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4125
Practice Address - Country:US
Practice Address - Phone:203-292-5731
Practice Address - Fax:203-968-0151
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004604363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily